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首页> 外文期刊>Child and Adolescent Psychiatry and Mental Health >Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings
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Clinician-rated mental health in outpatient child and adolescent mental health services: associations with parent, teacher and adolescent ratings

机译：门诊儿童和青少年心理健康服务中临床医生评估的心理健康：与父母，老师和青少年的等级相关

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Background Clinician-rated measures are used extensively in child and adolescent mental health services (CAMHS). The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a short clinician-rated measure developed for ordinary clinical practice, with increasing use internationally. Several studies have investigated its psychometric properties, but there are few data on its correspondence with other methods, rated by other informants. We compared the HoNOSCA with the well-established Achenbach System of Empirically Based Assessment (ASEBA) questionnaires: the Child Behavior Checklist (CBCL), the Teacher's Report Form (TRF), and the Youth Self-Report (YSR). Methods Data on 153 patients aged 6-17 years at seven outpatient CAMHS clinics in Norway were analysed. Clinicians completed the HoNOSCA, whereas parents, teachers, and adolescents filled in the ASEBA forms. HoNOSCA total score and nine of its scales were compared with similar ASEBA scales. With a multiple regression model, we investigated how the ASEBA ratings predicted the clinician-rated HoNOSCA and whether the different informants' scores made any unique contribution to the prediction of the HoNOSCA scales. Results We found moderate correlations between the total problems rated by the clinicians (HoNOSCA) and by the other informants (ASEBA) and good correspondence between eight of the nine HoNOSCA scales and the similar ASEBA scales. The exception was HoNOSCA scale 8 psychosomatic symptoms compared with the ASEBA somatic problems scale. In the regression analyses, the CBCL and TRF total problems scores together explained 27% of the variance in the HoNOSCA total scores (23% for the age group 11-17 years, also including the YSR). The CBCL provided unique information for the prediction of the HoNOSCA total score, HoNOSCA scale 1 aggressive behaviour, HoNOSCA scale 2 overactivity or attention problems, HoNOSCA scale 9 emotional symptoms, and HoNOSCA scale 10 peer problems; the TRF for all these except HoNOSCA scale 9 emotional symptoms; and the YSR for HoNOSCA scale 9 emotional symptoms only. Conclusion This study supports the concurrent validity of the HoNOSCA. It also demonstrates that parents, teachers and adolescents all contribute unique information in relation to the clinician-rated HoNOSCA, indicating that the HoNOSCA ratings reflect unique perspectives from multiple informants.
机译：背景技术临床医生评估的措施广泛用于儿童和青少年的心理健康服务（CAMHS）。 《儿童和青少年国家健康状况量表（HoNOSCA）》是为普通临床实践开发的由临床医师评定的短期标准，并在国际上得到越来越多的使用。几项研究调查了其心理测量特性，但很少有数据与其他方法的对应关系得到其他信息提供者的评分。我们将HoNOSCA与成熟的基于经验的评估的Achenbach系统（ASEBA）问卷进行了比较：儿童行为清单（CBCL），教师报告表（TRF）和青少年自我报告（YSR）。方法对挪威7家门诊CAMHS诊所的153名6-17岁患者进行分析。临床医生完成了HoNOSCA，而父母，老师和青少年则填写了ASEBA表格。 HoNOSCA总分及其九个量表与类似的ASEBA量表进行了比较。使用多元回归模型，我们调查了ASEBA评分如何预测临床医师评分的HoNOSCA，以及不同信息提供者的评分是否对HoNOSCA评分的预测做出了独特的贡献。结果我们发现临床医生（HoNOSCA）和其他被告者（ASEBA）评定的总问题与9个HoNOSCA量表中的8个和相似的ASEBA量表之间具有良好的对应关系。与ASEBA躯体问题量表相比，HoNOSCA量表8的心身症状有所不同。在回归分析中，CBCL和TRF总问题得分共同解释了HoNOSCA总得分中27％的差异（11-17岁年龄组（包括YSR）为23％）。 CBCL提供了独特的信息来预测HoNOSCA总分，HoNOSCA量表1的攻击行为，HoNOSCA量表2的过度活跃或注意力问题，HoNOSCA量表9的情绪症状以及HoNOSCA量表10的同伴问题。除HoNOSCA 9级情绪症状外，所有这些的TRF;而HoNOSCA的YSR仅评估9种情绪症状。结论该研究支持HoNOSCA的并发有效性。它还表明，父母，教师和青少年都贡献了有关临床医师评定的HoNOSCA的独特信息，这表明HoNOSCA评分反映了来自多个信息提供者的独特观点。

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